Comparison of in-person versus tele-ultrasound point-of-care ultrasound training during the COVID-19 pandemic.
Comparison of in-person versus tele-ultrasound point-of-care ultrasound training during the COVID-19 pandemic.
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DOI：
10.1186/s13089-021-00242-6
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发表时间：
2021-09-06
期刊：
影响因子：
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通讯作者：
Lucas BP
中科院分区：
文献类型：
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作者：
Soni NJ;Boyd JS;Mints G;Proud KC;Jensen TP;Liu G;Mathews BK;Schott CK;Kurian L;LoPresti CM;Andrus P;Nathanson R;Smith N;Haro EK;Mader MJ;Pugh J;Restrepo MI;Lucas BP
缺乏培训是目前在临床实践中实施护理点超声(Pocus)最常见的障碍，而面对面的Pocus继续医学教育(CME)课程是改善这一培训差距的关键。由于新冠肺炎大流行期间的旅行限制和实际距离要求，大多数面对面的Pocus培训课程被取消。虽然远程超声技术已经存在了几年，但在Pocus CME课程中使用远程超声技术进行动手培训之前还没有被描述过。我们进行了一项回溯性观察性研究，比较了面授课程和远程超声课程的教育结果、课程评估以及学员和教职员工的反馈。两种课程形式向学习者提供了相同的Pocus教育课程。将最近一次大流行前面对面疗程的数据与新冠肺炎大流行期间的远程超声疗程进行了比较。比较面授(n = 88)和远程超声(n = 52)两组学员在课程前后的知识测试成绩。尽管远程超声课程的学员的课程前知识测试平均分数高于面授课程的学员(78%比71%；p = 0.001)，但两种课程形式的学员的课程后测试分数没有显著差异(89%比87%；p = 0.069)。在虚拟讲座、远程超声操作扫描课程和课程管理方面，学习者和教师都对远程超声课程给予了高度评价(4.6-5.0分，满分为5分)。教师普遍对他们在远程超声课程中与学习者互动、解决图像获取问题和提供反馈的能力表示不太满意，但认为学习者完成远程超声课程时掌握了更好的基本技能。与传统的面授课程相比，远程超声Pocus CME课程在提高课程后的Pocus知识和实现学习目标方面似乎同样有效。我们的发现可以作为教育工作者寻求远程超声培训课程发展指导的路线图，其需求可能会持续到新冠肺炎大流行之后。网上版载有补充材料，可在10.1186/s13089-021-00242-6查阅。
Lack of training is currently the most common barrier to implementation of point-of-care ultrasound (POCUS) use in clinical practice, and in-person POCUS continuing medical education (CME) courses have been paramount in improving this training gap. Due to travel restrictions and physical distancing requirements during the COVID-19 pandemic, most in-person POCUS training courses were cancelled. Though tele-ultrasound technology has existed for several years, use of tele-ultrasound technology to deliver hands-on training during a POCUS CME course has not been previously described. We conducted a retrospective observational study comparing educational outcomes, course evaluations, and learner and faculty feedback from in-person versus tele-ultrasound POCUS courses. The same POCUS educational curriculum was delivered to learners by the two course formats. Data from the most recent pre-pandemic in-person course were compared to tele-ultrasound courses during the COVID-19 pandemic. Pre- and post-course knowledge test scores of learners from the in-person (n = 88) and tele-ultrasound course (n = 52) were compared. Though mean pre-course knowledge test scores were higher among learners of the tele-ultrasound versus in-person course (78% vs. 71%; p = 0.001), there was no significant difference in the post-course test scores between learners of the two course formats (89% vs. 87%; p = 0.069). Both learners and faculty rated the tele-ultrasound course highly (4.6–5.0 on a 5-point scale) for effectiveness of virtual lectures, tele-ultrasound hands-on scanning sessions, and course administration. Faculty generally expressed less satisfaction with their ability to engage with learners, troubleshoot image acquisition, and provide feedback during the tele-ultrasound course but felt learners completed the tele-ultrasound course with a better basic POCUS skillset. Compared to a traditional in-person course, tele-ultrasound POCUS CME courses appeared to be as effective for improving POCUS knowledge post-course and fulfilling learning objectives. Our findings can serve as a roadmap for educators seeking guidance on development of a tele-ultrasound POCUS training course whose demand will likely persist beyond the COVID-19 pandemic. The online version contains supplementary material available at 10.1186/s13089-021-00242-6.